| NPI | 1821498031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MARIE RUSIN Owner 801-898-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 4757258-8900) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-11-06 |